MICHAEL DAVID INGRAM

INDIANAPOLIS, IN
NPI1861999401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: IN  01084932A)
Additional Taxonomies2086S0129X 
(Licence: IN  11200113A)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-10
Last Update Date2025-07-07
Business Address
MICHAEL DAVID INGRAM MD
5255 E STOP 11 RD STE 200
INDIANAPOLIS, IN 46237-6341
Phone number: 317-528-1212
Mailing Address
MICHAEL DAVID INGRAM MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800